Platelet Activation in Acute Myocardial Infarction and the Rationale for Combination Therapy
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Current fibrinolytic regimens fail to fully restore coronary blood flow in slightly less than 50% of patients with acute myocardial infarction. Platelet activation and aggregation may be responsible for a large proportion of these therapeutic failures. Therefore, platelet inhibition may enhance thrombolysis. Experimental and early clinical evidence suggest that glycoprotein IIb/IIIa antagonists may enhance reperfusion when combined with reduced doses of thrombolytic agents. However, the clinical benefit of combination therapy will depend on the outcomes of a number large clinical trials that are currently being performed.
Nitric oxide, platelet function, myocardial infarction and reperfusion therapies.
Alonso D, Radomski M Heart Fail Rev. 2003; 8(1):47-54.
PMID: 12652159 DOI: 10.1023/a:1022194921040.